Socioeconomic Position, Multimorbidity and Mortality in a Population Cohort: The HUNT Study
1
HUNT Research Centre, Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, NTNU–Norwegian University of Science and Technology, 7600 Levanger, Norway
2
Academic Unit of General Practice, Australian National University Medical School, the Australian National University, Canberra 2600, Australian Capital Territory, Australia
3
Psychiatric Department, Levanger Hospital, Nord-Trøndelag Hospital Trust, 7601 Levanger, Norway
4
Faculty of Nursing and Health Sciences, Nord University–Levanger Campus, 7601 Levanger, Norway
5
Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, NTNU–Norwegian University of Science and Technology, 7491 Trondheim, Norway
6
Levanger Hospital, Nord-Trøndelag Hospital Trust, 7601 Levanger, Norway
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2020, 9(9), 2759; https://doi.org/10.3390/jcm9092759
Received: 18 July 2020
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Revised: 13 August 2020
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Accepted: 20 August 2020
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Published: 26 August 2020
(This article belongs to the Special Issue Multimorbidity Development and Evolution: Clinical Implications)
Multimorbidity and socioeconomic position are independently associated with mortality. We investigated the association of occupational position and several multimorbidity measures with all-cause mortality. A cohort of people aged 35 to 75 years who participated in the Trøndelag Health Study in 2006–2008 and had occupational data was linked to the Norwegian National Population Registry for all-cause mortality from study entry until 1 February 2019. Logistic regression models for each occupational group were used to analyze associations between the number of conditions and 10-year risk of death. Cox regression models were used to examine associations between combinations of multimorbidity, occupational position, and mortality. Analyses were conducted for men and women. Included were 31,132 adults (16,950 women (54.4%)); occupational groups: high, 7501 (24.1%); low, 15,261 (49.0%)). Increased mortality was associated with lower occupational group, more chronic conditions, and all multimorbidity measures. The joint impact of occupational group and multimorbidity on mortality was greater in men than women. All multimorbidity measures are strongly associated with mortality, with varying occupational gradients. Social differences in multimorbidity are a public health challenge and necessitate consideration in health care. Men in lower occupational groups seem to be a particularly vulnerable group.
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Keywords:
multimorbidity; frailty; socioeconomic status; mortality; occupations; public health; health inequality; The HUNT Study
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MDPI and ACS Style
Vinjerui, K.H.; Bjorngaard, J.H.; Krokstad, S.; Douglas, K.A.; Sund, E.R. Socioeconomic Position, Multimorbidity and Mortality in a Population Cohort: The HUNT Study. J. Clin. Med. 2020, 9, 2759. https://doi.org/10.3390/jcm9092759
AMA Style
Vinjerui KH, Bjorngaard JH, Krokstad S, Douglas KA, Sund ER. Socioeconomic Position, Multimorbidity and Mortality in a Population Cohort: The HUNT Study. Journal of Clinical Medicine. 2020; 9(9):2759. https://doi.org/10.3390/jcm9092759
Chicago/Turabian StyleVinjerui, Kristin H., Johan H. Bjorngaard, Steinar Krokstad, Kirsty A. Douglas, and Erik R. Sund. 2020. "Socioeconomic Position, Multimorbidity and Mortality in a Population Cohort: The HUNT Study" Journal of Clinical Medicine 9, no. 9: 2759. https://doi.org/10.3390/jcm9092759
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